Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Хирургические болезни

.pdf
Скачиваний:
31
Добавлен:
31.03.2015
Размер:
2.84 Mб
Скачать

!

–089 (075.8)

" " #$ % & ' ( ) – - –

!

" !"#$% # ' !* +# ,!/ * # 1 ! ' *& 3# !* , 4# 6 : ; *& 3# !* , 4# <# = >

ISBN 985-6539-96-A

=#/ # , / # , # =# &! # & ,#C$: 4 1 *! '&D3# *-, : E =# * %&-E E # =# * %& 3 & E =#1 * % 3# # $F 3 / #3G 3# C * : ! * &$3 &1 #& & , E 33 % *! = & % : ! E , #, #& * H# 3 , # J &! # & 3 #=#/ E 4 *! '&

=#/ # , / # # " & # /: 3$% /K#3 % , # & " % : 1 ! E $3# 3: ! E =# * %,#C ' &E, 4 3# * ,#*& – , = * =& 3 "#& , #=' 3 # * * &! # & #=#/ E ,# & =# * E 4 *! '& & * =#% & "# , *& *!JH : =#% – : ! E

–089 (075.8)

ISBN 985-6539-96-A

#*& &

2

%

* ' #' + ' , -....................................................

8

/ ' ...................................................................................

7

0 1 1! 2 3 4! 5 6 9..........

9

L /...........................................................................................

9

M # & * * .....................................................................

15

P , ' $# / # QR ....................................

21

T,!: QR .......................................................................

23

II 1 1! 4! 5 6 9 ................

26

& & ..................................................................................

26

E 3 ' $# E ,# , / * =# & # $#

 

,!: 3 = % "# # $ .............................................

31

+ * E ! % D3 = %G "# # $ ........................................

34

III 1 1! 9..............

39

P , ' $# D E ' $#G / # ..............

39

T,!: # $# / # #E* :........................................

39

V/ C# #E* : ....................................................................

39

E # #E* E .................................................................

44

: W*& & =# * / # ' ..............................................

45

X3, #3 , # $ ..................................................................

47

; # 3 & * ......................................................................

51

; , # 3 & * ................................................................

51

#3 & * ...........................................................................

54

+ * #E* E ...........................................................................

57

IV ! !9 1 1!

 

64 ! 2 41 ..............................

60

T" E , H# ..................................................................

60

V: * D* , 3G.........................................

62

# & *! $ , H# ......................................................

64

+ * , H# .......................................................................

65

V ! !9 1 1! 6 4 1

 

12- 3! 5 A ..........................................

68

#3 E =# * % E & & ...................................................

68

A =# * % #4 J* – E & & .......................................

70

+ E $% E & & ................................................................

71

Y # / # ' "# ! * ; ...................................

72

T " # # % / # ...........................................

77

; ! # ' $% ..............................................

77

;# #& C $..................................................................

81

;# 4 C $.................................................................

82

Y # # * =# #.......................................................

85

E C $ .............................................................

87

T,!: "# ! * .................................................................

93

/ * =# & # $# ,!: "# ! * ...............................

93

+ * "# ! * ..........................................................................

95

# ,# E "# ! * ....................................

102

T $# , & E & 3 =# * # 3$ ......................

115

+# * # / # "# ! * ............................................

118

VI ! A ! 1 ...................................

120

' ) ( B CD .......................................

120

; #" # # ; ...........................................................

120

# & *! $ ; ...........................................................

121

A =# * ! # ' #, : 3 &' DA ZG......

122

' ) ( B E - ........................

124

Z#, : 3 &' * F#= * .............................................

124

>, #= / # '...............................................................

130

# ' ....................................................................

134

#**# # # & *! ........................................................

137

' ) ( B ( / & - ..................

139

Z#, : 3 &' / = % * F* .................................

139

#E * ..........................................................................

147

# & *! $ / = % * F* .......................................

149

Z# ,#C 4 =# * % # $% * & ..................................

152

T,!: / = % * F* ...............................................

155

; ,$ , , .............................................................

155

P = & ,!: '.......................................................

1555

+ * / = % * F* .......................................................

156

' ) ( B * B - .......................

159

#3 % ............................................................................

159

M #H #E , : ................................................

162

P$, # # , 3 % * F* ................................................

164

T & $% , , *& &..........................................................

167

A =# * % , , *& & D H , 3 % * F* G........

171

V ' $% ! ....................................................................

173

*#+ * B - .................................................

174

/ * =# & # $# ...........................................................

174

L * =# & # $# ...............................................................

174

VII 1 1! 1 !

 

3 3 1................................................................

177

T & $% ,,# C &...........................................................

178

A =# * % ,,# C & .................................................

184

4

VIII 1 1! ! " 6 !

 

9 6 !9 4 ..........................

186

' ) ( B * & .....................................

186

V/ C# $ ,#=# ...............................................................

186

X: * ** ,#=# ..........................................................

188

Z#, & $# * &$ ,#=# .........................................

191

> 3 , & ' % E ,# ...................................

192

/ * =# & # $# ,!: ,#=# ...............................

195

L * =# & # $# ,!: ,#=# ....................................

196

( B H & % *#) B .....................................

197

A #C & & – , # # "# = E ,! $ ...................

197

; &: #C &W*& 3 =# * % 3..............................

201

/ * =# & # $# ,!: "# = E ,! $ .............

202

+ * "# = E ,! $ .........................................................

203

A E &.............................................................................

204

0J ! !9 1 1!

 

46 4 ! 5 6 9 ...........................

207

T & $% , * # & &............................................................

207

A =# * % , * # & &..................................................

216

&$ , "# ! = % "# # $.........................................

218

T,!: , "# ! = % "# # $ ....................................

220

/ * =# & # $# ,!: ............................................

220

+ * , "# ! = % "# # $..............................................

222

3 ! 3 ............................................................

224

V #,& =# * # ,# & &$................................................

224

>#,& =# * # ,# & &$..................................................

225

4 * C ,# & & .............................................

226

* ,# & & ..........................................................

226

<#=# # ,# & & ..........................................................

229

XI 96 6 31 .................................................

231

; : E $" ...................................................................

236

# # E $" ...............................................................

237

;!, = E $" ................................................................

237

$" /# % " & .............................................

237

; # ,# C $# E $" ..............................................

238

H#3 # $# E $" ..........................................................

238

[ #E3 E $" ........................................................

238

P , # # E $" .............................................................

239

, & ...........................................................................

239

M 3 E $" ....................................................................

239

XII. 1 1! 4 ..............................

240

;# 4# =# * # ..................................................

240

T/ !JH % * # .......................................

240

T/ !JH % W & ........................................

244

# ' J E# ................................................................

246

# ' +#% ....................................................................

247

L / # ,# 4# =# * : # ......................................

248

P * / # ' P * # F # # # ........

248

T & $% & 3/ 4 #/ & , # : & $: #

 

" : * #= %...................................................

253

M 3/ & 3/ 4 #/ & E !/ * : #

 

" : * #= %...................................................

255

# 4#3 ' $% & 3/ ..............................................

257

; && 3/ 4 #/ & =# * % 3...............................

260

; # 3#& $% !* '\ \\\\\\\\\\\\\\\

6

4

=#/ # , / # ]A ! E =# * # / # ^ , # 1 =# &! # & ,#C$: 4 *! '& D3# *-, : E =# * % &-E E # =# * % & 1 3 & E =# * % 4 3 C# & =# * %G 3# C * : $1 F : !=#/$: # # % =#% #: ! E =# * E , 1 4 ; / # !=#/ # , / # + #& ,#$#

P !=#/ *# 3#J& , *& =# * # #$= & % : ! E * " % E # , # & #$& '* 1$# / # * &$# & #= J& , # # % , *& *# =

; 3 &! = 3 & , # # #$: & ! & : 1 E & * & *& * , &$: : ! E =# * : / # 1 : , *& *#=J/ %,#C ' & !=#/ *# W& 3 , 3 ! # # / # 3 # , / 1 "#$* * =# # 3 "$# " # & *& * 3#&$#=# = &$=& !*$: 4 *! '& : # E & & =#%-: ! E = 3 #: ! E =# * E , 4 #& #/!J& #&: *,# &$: 3#1 F ' & / ## & E : * , /$: 3#F ' & != #& *! # ,# & %: ! E, W& 3!& 1$ = & , / & &' W& : , : #C# # /$3

P3# ##$, # & #$# !=#/ 3 , / "#$#3# 3 ! # * &* =#&* # E 4 =# * E &

P # 3#= , "# &$, 3!& / E 1 &'J

V &$

 

!9 12 ! 5

– I

– , / # #*C "# ! * , ' & & I

– II

, / # #*C "# ! * , ' & & II

Ht

– E#3 & * & # =

Hb

– E#3 E /

#$%

– E & W & 3

&'()

– # C & ,# & * F*

#

– ! # E & '$% #4 J*

*)+

– "# ! =-* F#=$% & *&

*)

– "# =#* 3# / # '

,+)

– , '-& !$# *

)+

– * 3,'J & 3 E 4

)*-

– * 3/ "# ! = E & 3

Mts

– 3#& &$

./

– 3 * *J

mc

– 3 *J

(+)– , # / & !*C & & % * F*

#

– #4 J* – E & &

01

– 3 TE '

01

– !33 = E

0(-

– # #*& , * 3 ' E & 3

0-

– # #*& E & 3

0 -

– & E & 3

+4

– & *

+3

& % &

+ #

– & # & , – # E E 3

++#

– & # & ,$% E 3

+$2%

– & 3/W3/ #E = %

56,

– ! '& !* # # #

7 8

– : =# * ! # ' #, : 3 &'

980

– C# & ' #

:*

– H & "# #

;

– #-3 E &$% #

8

0 1 1! 2 3 4! 5 6 9

C '' L M B ' + ) ( - , E /-H )

L /

W #3 =# * %_

W, #3 =# * %_

, =# * %

M # & * * D& # & * =# * % / / # ' # / # ' # G

P , '$# / # QR T &$% & # &

A =# * % & # & D / + # / A 1 F 3 & G

T,!: QR / * =# & #$#

-W, '$#_

-#W, '$#

L * =# & #$# * * 3

(

L / – W& &=#& , # # #3 # ! # =# #QR / 'F#% 3# 'F#% ,##4 3 !JH##* &!$

F#

0 – QR # # , H!,$#&

I – , ', !#& ,# #F##* QR QR # II – QR 3#& , E & #E* , ', !#&

III – QR = ' ! # =# 3#& E , 3 & # # ]& & % F# ^

IV – # *$"#$% / #4 3 !JH % F#J 1 !F JH % ## * 4 E! C J

V – E E & * % / #& E$F# !F#1 #3$: E &